Organization
ALLIANCE DIABETIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON WILSON MUNN (PRESIDENT)
(901) 387-0240
Entity
Organization
Contact information
Practice address
6570 SUMMER OAKS CV, BARTLETT, TN 38134-2857
(901) 387-0240
(901) 373-4022
Mailing address
6570 SUMMER OAKS CV, BARTLETT, TN 38134-2857
(901) 387-0240
(901) 373-4022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
875
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4114260
—
TN
Enumeration date
09/16/2006
Last updated
08/22/2020
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